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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
January 01, 2021 - NIRSQ will continue to fund critical research on how the healthcare
delivery systems is organized and … All of these data efforts further NIRSQ's critical mission to improve safety, quality, and access
to … It also includes questions
about critical public health crises, such as the nation’s opioids epidemic … health care practitioners about how to make care more patient-focused, which ultimately leads
to safer … to make health care safer, higher quality, more accessible, equitable, and
affordable.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
July 25, 2023 - Customer/client/patient
III. Coworker
IV. … Hazard Prevention and Control applied in this industry could include substituting a safer work practice … https://www.dir.ca.gov/Title8/3342.html
Mandated for Joint Commission-accredited hospitals and critical … They are mandated for all Joint Commission-accredited hospitals and critical access hospitals. … I wish for each of you a safer work environment.
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www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
January 01, 2024 - Results: One of the key findings from the seminar was that it is critical to focus on patient safety … Identifying and eliminating built environment
latent conditions is critical to improving patient safety … To err is human: Building a
safer health system. Washington DC: National Academies Press. … Opinion papers
Appendix III. Design tool summaries
Appendix IV. … Opinion papers
Appendix III. Design tool summaries
Appendix IV.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
November 01, 2023 - and resources developed by this body of AHRQ-funded work have collectively
helped to:
■ Provide safer … Key Findings/Impact: A product of this report,
Hignett, et al. (2015),iii used a theoretical model for … /Impact: This project is ongoing, and
no final report or publications are currently available.
0
iii … This PSLL has produced a range of innovative products,
including the design of a safer and more efficient … and refined through
this project are envisioned to be applicable to other
healthcare spaces where critical
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
October 01, 2021 - supplemental-items/workplace-safety.html
SOPS Workplace Safety Supplemental Items Resource List 2
III … download this free action plan that can provide clear directions to make
significant advances toward safer … and leaders to act on the report, and taking
personal responsibility for one’s actions, which are critical … • Identifying the critical needs and priorities to support the well-being of clinicians,
including … How To Use This Resource List
III. Contents
IV.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - Placement
Respiratory Hygiene and Etiquette
Safe Injection Practices
Soiled Linen
III … As a result, it's critical that they be regularly cleaned. … Return to the Contents
III. … Communication Tips
Ask your supervisor how to help make resident care safer. … Share ideas with your supervisor for making resident care safer.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
June 02, 2025 - clinical process measures
AHRQ Surveys on Patient Safety Culture
Patient Safety Indicators
16
Level III … Problem:
Suboptimal communication among surgical team members
Team Process:
What: Communication of critical … Level III Behavior:
4. Level IV Results:
33
Step 6. … Improved team performance and safer patient care.
47
47
The Role of a TeamSTEPPS Coach
Coaching
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - incidence and associated morbidity and mortality, the World Health Organization
recently identified CRE as critical … Making Healthcare Safer: Stop Infections from
Lethal CRE Germs Now.CDC Vitals Signs.Centers for Disease … By creating more
specific models on the length of CRE carriage for different patients, we can make safer … Clinical Trial
• Clinical Trial,
Phase I
• Clinical Trial,
Phase II
• Clinical Trial,
Phase III
-
www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - III. Methods
A. … Making Health Care Safer: A Critical
Analysis of Patient Safety Practices. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Critical Care Medicine.
2002;30:846-50.
23. … To Err is Human: Building a Safer Health System.
-
www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
March 11, 2022 - Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care. … The critical need for nursing education to
address the diagnostic process. … Making Healthcare Safer III: A Critical
Analysis of Existing and Emerging Patient Safety Practices. … March 2020. https://www.ahrq.gov/research/findings/making-
healthcare-safer/mhs3/index.html. … /mhs3/index.html
https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
https
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - .............................................................................................. 10
III … this free action plan from the IHI that provides clear
directions to make significant advances toward safer … These are critical to creating a safety culture and
nurturing high reliability within a healthcare organization … III. … Resources by Additional Measures
Workplace Safety Reporting
Work Stress/Burnout
III.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - III. Contents
Resources by Composite Measure 3
Composite Measure 1. … download this free action plan that can provide clear directions to make
significant advances toward safer … and leaders to act on the report, and taking
personal responsibility for one’s actions, which are critical … • Identifying the critical needs and priorities to support the well-being of clinicians,
including … How To Use This Resource List
III. Contents
IV.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - www.ahrq.gov/sops/surveys/hospital/index.html
mailto:SafetyCultureSurveys@westat.com
ii
III … The Comprehensive Unit-based Safety Program (CUSP) is a method that can help clinical teams
make care safer … ProvideFeedbacktoFrontLineStaff.aspx (requires
free account setup and login)
Feedback to the front-line staff is a critical … /Shining-a-Light-Safer-Health-Care-Through-
Transparency.aspx (requires free account setup and login) … /Tools/SBARTrainingScenariosandCompetencyAssessment.aspx
12
• “SBAR Report to Physician About a Critical
-
www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - • Applying Critical Thinking – Case-based training materials to support the development of
expertise … III. … Critical behaviors prompts from applied human reliability (e.g., the “STAR” prompt: Stop,
Think, Act … Agency Self Assessment† NA NA 91.8% 98.2%
Critical Thinking Skills Development 97.7% 98.4% 94.2% 97.6% … To Err is Human: Building a Safer Health System.
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
July 01, 2018 - organizations acknowledge the magnitude of this "implementation gap":
The AHRQ report, Making Health Care Safer … Similarly, order sets and critical pathways not supported by a healthy quality improvement framework … junctures (e.g., admission to the hospital, admission or transfer to the critical care unit, changes … Heit JA, Silverstein MD, Mohr DN , Petterson TM, O’Fallon WM , Melton LJ III. … Comments on special roles, type of work (e.g., critical care vs. ward), or degree of involvement can
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
July 01, 2018 - organizations acknowledge the magnitude of this "implementation gap":
The AHRQ report, Making Health Care Safer … Similarly, order sets and critical pathways not supported by a healthy quality improvement framework … junctures (e.g., admission to the hospital, admission or transfer to the critical care unit, changes … Heit JA, Silverstein MD, Mohr DN , Petterson TM, O’Fallon WM , Melton LJ III. … Comments on special roles, type of work (e.g., critical care vs. ward), or degree of involvement can
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - behavior-based evaluation of a gradual, voluntary CPOE implementation
found that CPOE medication orders were safer … To err is human: Building a
safer health system. … Computerized
physician order entry and medication errors in a
pediatric critical care unit. … false-positive coagulase negative
staphylococcus blood and cerebrospinal fluid culture
rates in a level III … An update, an
extension, and some critical needs. Hum Factors 2006;
48: 392-412.
71.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
January 01, 2025 - citations*
Geographical Distribution of Funding
Approaches to Improving Patient Safety
(No. of Projects)iii … HIT-HIE Patient Safety Improvement Targets
(No. of Projects)iii
*as of April 2, 2025
i Health information … iii The total number of projects is greater than 60 as some projects used more than one approach to improving … diagnoses mentioned in simulations, leading to
development of a comprehensive training toolkit for safer … over, providing that information
to pharmacists, and then having pharmacists and physicians discuss safer
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
January 01, 2024 - Diagnostic errors in pediatric critical care: a systematic review. … A critical appraisal of AHRQ’’s ““diagnostic errors”“ report. … Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices. … https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html .
-
www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
September 01, 2025 - iii
• Future research can build on the evidence from the PCCP4P Initiative and the Summit activities … Dots ............................................................................................. 7
III … to build bridges between healthcare, research, and healthcare
practice so that patients can receive safer … achieving person-centered care
planning for persons with multiple chronic conditions
8
III … of the Partner Roundtable
Summary of the Learning Collaborative
Session 4: Connecting the Dots
III